A patient is brought to the emergency department by friends, who say they found the patient barely responsive with a bottle of diphenhydramine (Benadryl) by the bed. What clinical manifestations would the nurse expect to find? (Select all that apply.)
a. Dilated pupils
b. Urinary frequency
c. Pallor
d. Drooling
e. Tachycardia
ANS: A, E
The clinical manifestations the nurse would expect to see are dilated pupils, flushed face, hyperpyrexia, tachycardia, dry mouth, and urinary retention.
Urinary frequency, pallor, and drooling are not anticholinergic effects.
You might also like to view...
A nurse assesses a client who is recovering from a Whipple procedure. Which clinical manifestations alert the nurse to a complication from this procedure? (Select all that apply.)
a. Clay-colored stools b. Substernal chest pain c. Shortness of breath d. Lack of bowel sounds or flatus e. Urine output of 20 mL/6 hr
An elderly patient who resides in a nursing home is suffering from a respiratory infection. During the illness, the patient has become incontinent of both urine and stool
The nursing staff used a special cleanser on the perineum, put a moisture barrier on the exposed area, and used absorbent briefs to prevent the skin from becoming soft because of the moisture. What was the staff trying to prevent? a. Maceration b. Dehiscence c. Evisceration d. Debridement
Following an angiogram, the nurse will assess and record:
a. allergy to dye. b. range of motion of lower limbs. c. presence and strength of pedal pulses. d. nausea.
When assessing the fetus using Leopold maneuvers, the nurse feels a round, firm, movable fetal part in the fundal portion of the uterus and a long, smooth surface in the mother's right side close to midline
What is the likely position of the fetus? a. ROA c. RSA b. LSP d. LOA